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THOMAS PRUITT

Licensed Psychiatric Technician

NPI: 1104172048Individual

Specialties, Licenses & Credentials

Licensed Psychiatric Technician

Code: 167G00000X

Contact & Hours

Address
501 E CHIPETA WAY
SALT LAKE CITY, UT 84108

Quick Facts

NPI
1104172048
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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